Provider Demographics
NPI:1285836957
Name:TONKIN, ANN (PT, ATC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:TONKIN
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:SAMUELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, ATC
Mailing Address - Street 1:27140 GARDENWAY RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MI
Mailing Address - Zip Code:48025-1090
Mailing Address - Country:US
Mailing Address - Phone:734-649-0202
Mailing Address - Fax:
Practice Address - Street 1:2160 COOLIDGE HWY
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-1547
Practice Address - Country:US
Practice Address - Phone:248-691-4700
Practice Address - Fax:248-548-2528
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010483225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist